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Chapter 5: Surgical Technology for the Surgical Technologist. Exam Study Guide.

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Chapter 5: Surgical Technology for the Surgical Technologist. Exam Study Guide. Race track plan, hotel plan, specialty grouping plan - answerWhat are the basic design types used in surgical services departments? race track plan - answerinvolves a series of ORs around a clean central core; the front entrance to each OR is from the outer corridor, and supplies are retrieved through a rear entrance to the room leading to the central-core storage and work areas; soiled entrance areas are situated outside this central-core hotel plan - answerthe ORs are situated along a central corridor, with separate clean core and soil work areas; traffic enters and exits the surgery department through a single entrance or a primary entrance and holding area entrance situated along the same corridor specialty grouping plan - answerORs are grouped by specialty, each with its own soiled instrument work area OR temperature - answerbetween 68-73 degrees relative humidity (RH) in the OR - answer20-60% set by ANSI, no higher than 50%, 30-60% set by manufacturers unrestricted areas - answerare usually located near the entrance of the OR; offices, dressing rooms, preoperative holding, postanesthesia care unit (PACU); street clothes are allowed in these areas preoperative holding - answerarea where the patient is prepared for surgery; intravenous (IV) line(s) and invasive monitoring devices are established here; circulator and anesthesia care provider use this area for preoperative interview and assessment of the patient's status postanesthesia care unit (PACU) - answerrecovery area; may be located adjacent to the surgery department or in the unrestricted area of the department; divided into a series of individual cubicles laboratory department - answerprovides the surgical team with perioperative laboratory values used when monitoring the patient perfusionists - answerperforms blood gas monitoring during cardiovascular procedures ©THEBRIGHT EXAM SOLUTIONS 11/05/2024 12:06 PM radiology department - answerprovides the OR with radiologic patient studies, including plain X-ray films, CT scans, and MRI, and intraoperative techniques such as fluoroscopy, which provides real-time radiographic monitoring for orthopedic and other cases pathology department - answerspecimens are sent to this department for testing, processing, and diagnosis semi-restricted areas - answerOR attire is required in this area; scrubs and hair covers are mandatory; storage rooms for nonsterile instruments, equipment, and supplies decontamination room - answeroften located above or below the surgical department; an elevator or dumbwaiter is used to separately transport sterile and contaminated instruments and supplies; contains equipment for the gross decontamination of instruments central sterile supply and processing department (CSPD) - answerlocated outside the surgery department; it is where the final assembly, sterilization, and storage of instruments occurs as well as the storage of sterile supplies; also responsible for the processing of instruments restricted areas - answerproper OR attire and masks are required in these areas; OR suites, substerile rooms, and sterile storage rooms substerile room - answerroom that each OR or group of ORs is provided with that contains a scrub sink and an autoclave steam sterilizer for cleaning and immediate use steam sterilization (IUSS) for instruments; may also contain a blanket and solution warmer unit environmental services - answerancillary department responsible for cleaning the semi-restricted and restricted areas of the surgery department positive air pressure - answerAll doors into restricted areas must remain closed during an operation to preserve ___________________ and help prevent air contamination. standard size of an OR - answer400-600 square feet; some trauma rooms may be at least 800 square feet due to the advanced imaging technology and the need for additional equipment electrical outlets in the OR - answercontain both 110-volt and 220-volt outlets that must be connected to a monitored electrical system in the surgery department; situated well above the floor red electrical outlets - answerthese are connected to the health care facility's backup generator in case of power outage and should be used for equipment that is vital to the patient's safety, such as the anesthesia machine Extension cords - answer______________________ should not be used in the OR. green gas outlet - answeroxygen blue gas outlet - answernitrous oxide

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©THEBRIGHT EXAM SOLUTIONS

11/05/2024 12:06 PM


Chapter 5: Surgical Technology for the
Surgical Technologist. Exam Study Guide.


Race track plan, hotel plan, specialty grouping plan - answer✔What are the basic design types used in
surgical services departments?

race track plan - answer✔involves a series of ORs around a clean central core; the front entrance to each
OR is from the outer corridor, and supplies are retrieved through a rear entrance to the room leading to
the central-core storage and work areas; soiled entrance areas are situated outside this central-core

hotel plan - answer✔the ORs are situated along a central corridor, with separate clean core and soil
work areas; traffic enters and exits the surgery department through a single entrance or a primary
entrance and holding area entrance situated along the same corridor

specialty grouping plan - answer✔ORs are grouped by specialty, each with its own soiled instrument
work area

OR temperature - answer✔between 68-73 degrees

relative humidity (RH) in the OR - answer✔20-60% set by ANSI, no higher than 50%, 30-60% set by
manufacturers

unrestricted areas - answer✔are usually located near the entrance of the OR; offices, dressing rooms,
preoperative holding, postanesthesia care unit (PACU); street clothes are allowed in these areas

preoperative holding - answer✔area where the patient is prepared for surgery; intravenous (IV) line(s)
and invasive monitoring devices are established here; circulator and anesthesia care provider use this
area for preoperative interview and assessment of the patient's status

postanesthesia care unit (PACU) - answer✔recovery area; may be located adjacent to the surgery
department or in the unrestricted area of the department; divided into a series of individual cubicles

laboratory department - answer✔provides the surgical team with perioperative laboratory values used
when monitoring the patient

perfusionists - answer✔performs blood gas monitoring during cardiovascular procedures

, ©THEBRIGHT EXAM SOLUTIONS

11/05/2024 12:06 PM

radiology department - answer✔provides the OR with radiologic patient studies, including plain X-ray
films, CT scans, and MRI, and intraoperative techniques such as fluoroscopy, which provides real-time
radiographic monitoring for orthopedic and other cases

pathology department - answer✔specimens are sent to this department for testing, processing, and
diagnosis

semi-restricted areas - answer✔OR attire is required in this area; scrubs and hair covers are mandatory;
storage rooms for nonsterile instruments, equipment, and supplies

decontamination room - answer✔often located above or below the surgical department; an elevator or
dumbwaiter is used to separately transport sterile and contaminated instruments and supplies; contains
equipment for the gross decontamination of instruments

central sterile supply and processing department (CSPD) - answer✔located outside the surgery
department; it is where the final assembly, sterilization, and storage of instruments occurs as well as the
storage of sterile supplies; also responsible for the processing of instruments

restricted areas - answer✔proper OR attire and masks are required in these areas; OR suites, substerile
rooms, and sterile storage rooms

substerile room - answer✔room that each OR or group of ORs is provided with that contains a scrub sink
and an autoclave steam sterilizer for cleaning and immediate use steam sterilization (IUSS) for
instruments; may also contain a blanket and solution warmer unit

environmental services - answer✔ancillary department responsible for cleaning the semi-restricted and
restricted areas of the surgery department

positive air pressure - answer✔All doors into restricted areas must remain closed during an operation to
preserve ___________________ and help prevent air contamination.

standard size of an OR - answer✔400-600 square feet; some trauma rooms may be at least 800 square
feet due to the advanced imaging technology and the need for additional equipment

electrical outlets in the OR - answer✔contain both 110-volt and 220-volt outlets that must be connected
to a monitored electrical system in the surgery department; situated well above the floor

red electrical outlets - answer✔these are connected to the health care facility's backup generator in
case of power outage and should be used for equipment that is vital to the patient's safety, such as the
anesthesia machine

Extension cords - answer✔______________________ should not be used in the OR.

green gas outlet - answer✔oxygen

blue gas outlet - answer✔nitrous oxide

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